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Cited by 18Infant Development and Preterm CareMaternal and Neonatal HealthcareNeonatal Respiratory Health Research

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Home Visiting for NICU Graduates: Impacts of Following Baby Back Home

McKelvey, Lorraine M., Lewis, Kanna N., Beavers, Jared, Casey, Patrick H., Irby, Carmen, Goudie, Anthony·2021·Pediatrics
DOI 10.1542/peds.2020-029397
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Abstract

Background and objectives The Following Baby Back Home (FBBH) home visiting program supports families of high-risk low birth weight preterm infants after discharge from a hospital NICU. This study compares the health care use, immunization, and infant mortality rate of low birth weight preterm infants enrolled in FBBH with similar infants not in the program. Methods From January 2013 to December 2017, 498 children enrolled in FBBH were identified in Arkansas vital statistics records and the Arkansas All-Payer Claims Database. Infants in FBBH were matched with children in a control group on the basis of demographics and medical conditions of the infant. Generalized linear mixed models with double propensity-score adjustment were used to estimate program effects. Results In the first year after discharge and compared with a propensity-score matched cohort of control infants, those enrolled in FBBH were significantly more likely to have higher numbers of medical appointments and more compliant immunization history. The odds of dying in the first year of life for control infants was 4.4 times (95% confidence interval: 1.2-20.7) higher than those managed in the program. Conclusions A goal of the FBBH home visiting program is to work with parents to educate and support them as they care for their medically fragile infants. We conclude that education and support was instrumental in the infant health care use and outcome differences we observed during the first year of life.

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Metadata

Authors
McKelvey, L. M., Lewis, K. N., Beavers, J., Casey, P. H., Irby, C., & Goudie, A.
Affiliations
  • aDepartments of Family and Preventive Medicine
  • bPediatrics, College of Medicine,
  • University of Arkansas for Medical Sciences (US)
ORCID
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
2021-07-01
Volume
148
Issue
1
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2020-029397
OpenAlex
W3164983191
Cited by
18
References
6
Citations by year
2026: 1 · 2025: 7 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 1
FWCI
2.47
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
Keywords
home visiting, preterm infants, low birth weight, NICU discharge, infant mortality, immunization, health care utilization, medically fragile infants, parental support
MeSH terms
Family, Female, Health Education, Home Care Services, Humans, Immunization, Infant, Infant Mortality, Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Intensive Care Units, Neonatal, Male, Social Support

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